Template:ACLS Wide Irregular Tachycardia: Difference between revisions

Latest revision as of 02:02, 18 January 2026

Wide Irregular Tachycardia

Wide Irregular Tachycardia (consistent with Torsades De Pointes).

DO NOT use AV nodal blockers as they can precipitate V-Fib

Pulseless: see Adult pulseless arrest

Unstable: Hypotension, altered mental status, shock, ischemic chest discomfort, acute heart failure
- Unsynchronized cardioversion (defibrillation) 200J
Stable:
A fib with preexcitation
- 1st line - Electric Cardioversion
- 2nd line - Procainamide, amiodarone, or sotalol
A fib with aberrancy
Polymorphic V-Tach / Torsades De Pointes
- Give IV MgSO4
- Emergent defibrillation (NOT synchronized)
- Correct electrolyte abnormalities (esp hypoK, hypoMg)
- Stop prolonged QT meds

@@ Line 1: / Line 1: @@
-===[[ACLS]]: Wide ''Irregular'' Tachycardia===
+<languages/>
-''DO NOT use AV nodal blockers as they can precipitate [[V-Fib]]''
+<translate>
-''Pulseless: see [[Adult pulseless arrest]]''
+===[[Special:MyLanguage/Wide complex tachycardia|Wide ''Irregular'' Tachycardia]]===
+[[File:Torsades de Pointes (polymorphic VT).svg|thumb|Wide ''Irregular'' Tachycardia (consistent with [[Special:MyLanguage/Torsades De Pointes|Torsades De Pointes]]).]]
+:''DO NOT use AV nodal blockers as they can precipitate [[Special:MyLanguage/V-Fib|V-Fib]]''
+:''Pulseless: see [[Special:MyLanguage/Adult pulseless arrest|Adult pulseless arrest]]''
 *'''Unstable''': Hypotension, altered mental status, shock, ischemic chest discomfort, acute heart failure
-**[[Synchronized cardioversion]] 100-200J
+**[[Special:MyLanguage/Unsynchronized cardioversion|Unsynchronized cardioversion]] (defibrillation) 200J
-#[[A fib]] with preexcitation
+*'''Stable''':
-#*1st line - Electric [[Cardioversion]]
+*[[Special:MyLanguage/A fib|A fib]] with preexcitation
-#*2nd line - [[Procainamide]], [[amiodarone]], or [[sotalol]]
+**1st line - Electric [[Special:MyLanguage/Cardioversion|Cardioversion]]
-#[[A fib]] with aberrancy
+**2nd line - [[Special:MyLanguage/Procainamide|Procainamide]], [[Special:MyLanguage/amiodarone|amiodarone]], or [[Special:MyLanguage/sotalol|sotalol]]
-#Polymorphic [[V-Tach]] / [[Torsades De Pointes]]
+*[[Special:MyLanguage/A fib|A fib]] with aberrancy
-#*Give IV [[MgSO4]]
+*Polymorphic [[Special:MyLanguage/V-Tach|V-Tach]] / [[Special:MyLanguage/Torsades De Pointes|Torsades De Pointes]]
-#*Emergent defibrillation (NOT synchronized)
+**Give IV [[Special:MyLanguage/MgSO4|MgSO4]]
-#*Correct [[electrolyte abnormalities]] (esp [[hypoK]], [[hypoMg]])
+**Emergent defibrillation (NOT synchronized)
-#*Stop [[prolonged QT]] meds
+**Correct [[Special:MyLanguage/electrolyte abnormalities|electrolyte abnormalities]] (esp [[Special:MyLanguage/hypoK|hypoK]], [[Special:MyLanguage/hypoMg|hypoMg]])
+**Stop [[Special:MyLanguage/prolonged QT|prolonged QT]] meds
+</translate>